Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

Aart J van der Molen, Peter Reimer, Ilona A Dekkers, Georg Bongartz, Marie-France Bellin, Michele Bertolotto, Olivier Clement, Gertraud Heinz-Peer, Fulvio Stacul, Judith A W Webb, Henrik S Thomsen

Research output: Journal article (peer-reviewed)Review article

233 Citations (Scopus)

Abstract

PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.

KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.

Original languageEnglish
Pages (from-to)2845-2855
Number of pages11
JournalEuropean Radiology
Volume28
Issue number7
DOIs
Publication statusPublished - 1 Jul 2018

Keywords

  • Acute Kidney Injury/chemically induced
  • Administration, Intravenous
  • Contrast Media/administration & dosage
  • Female
  • Glomerular Filtration Rate/physiology
  • Humans
  • Incidence
  • Injections, Intra-Arterial
  • Male
  • Practice Guidelines as Topic
  • Radiography
  • Risk Factors
  • Acute kidney injury
  • Practice guidelines as topic
  • Risk factors
  • Glomerular filtration rate
  • Contrast media

ASJC Scopus subject areas

  • Radiology, Nuclear Medicine and Imaging

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